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基于COCATS-4框架的心脏病学学员培训现状:来自印度各地三所高等保健机构的横截面研究
Atit A Gawalkar1, Ganesh Paramasivam2, Krishna Prasad Akkineni1
1All India Institute of Medical Sciences, New Delhi, India.
Indian heart journal
|May 22, 2025
概括
印度的心脏病学研究员表现出各种能力水平,在高级成像技能方面存在显著差距. 需要标准化的培训指南,以改善全国的心脏病学教育.
科学领域:
- 心脏病学培训和教育
- 医学教育中的能力评估
- 心血管医学 心血管医学
背景情况:
- 美国心脏病学会 (ACC) 认可的核心心脏病学培训研讨会 (COCATS) 准则倡导基于能力的培训.
- 印度目前缺乏针对培训心脏病学研究员的具体国家指导方针.
研究的目的:
- 评估印度心脏病学研究员的自称能力.
- 根据各个领域的COCATS-4建议评估这些能力.
- 衡量对COCATS-4标准的认识,以及印度对标准化指南的感知需求.
主要方法:
- 一项基于问卷的研究涉及52名心脏病学研究员,他们在印度三所顶尖机构完成了为期3年的培训.
- 使用心血管医学方面的检查清单进行能力评估.
- 调查人们对COCATS-4的认识以及对标准化培训指南的看法.
主要成果:
- 所有受训人员都报告了心脏导管,心力衰竭和成人先天性心脏病的1级能力.
- 在核医学 (1.9%),心脏MRI (3.8%) 和心脏CT (17.3%) 中观察到明显较低的1级能力.
- 在2级,心脏导管 (73.1%) 和心声回声 (63.5%) 显示了最高的自我声明能力,而核医学,心脏MRI和CT显示最低 (0-3.8%).
- 只有23.1%的研究员知道COCATS-4标准.
- 82.7%的受访者认为,标准化指导方针将提高印度的心脏病学培训.
结论:
- 在印度,心脏病学学员的自我报告能力存在相当大的差异.
- 核心领域的缺陷被注意到,特别是在心血管成像模式,如核医学,MRI和CT.
- 调查结果强调,需要在印度实施标准化基于能力的培训指南.
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